How much rates vary
Facilitymedian $13,183 · 10th to 90th $1,995 to $21,878Professionalmedian $1,622 · 10th to 90th $562 to $5,370
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $562.34 Median $6,456.54 Typical High $14,454.40 | Facility | None | $562.34 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $6,456.54 | Professional | None | $562.34 | $562.34 | $6,456.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $15,848.93 Typical High $23,988.33 | Facility | None | $11,220.18 | $15,848.93 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $1,995.26 Typical High $4,786.30 | Professional | None | $616.60 | $1,995.26 | $4,786.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $1,258.93 Typical High $3,019.95 | Professional | 62 · Two surgeons | $389.05 | $1,258.93 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $316.23 Typical High $758.58 | Professional | 80 · Assistant surgeon | $100.00 | $316.23 | $758.58 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $275.42 Typical High $660.69 | Professional | AS · PA/NP assist | $87.10 | $275.42 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $25,118.86 | Facility | None | $2,187.76 | $5,623.41 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $4,677.35 | Professional | None | $1,122.02 | $1,288.25 | $4,677.35 |
DeanCare Setting Facility Modifier None Typical Low $1,202.26 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,202.26 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $8,709.64 Typical High $19,952.62 | Facility | None | $1,348.96 | $8,709.64 | $19,952.62 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $3,801.89 Typical High $5,011.87 | Professional | None | $1,288.25 | $3,801.89 | $5,011.87 |
Network Health Setting Facility Modifier None Typical Low $3,388.44 Median $12,882.50 Typical High $27,542.29 | Facility | None | $3,388.44 | $12,882.50 | $27,542.29 |
Network Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,089.30 | $2,398.83 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,290.87 | Facility | None | $660.69 | $1,202.26 | $2,290.87 |
Quartz Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $1,659.59 | Professional | None | $501.19 | $1,000.00 | $1,659.59 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $16,595.87 Typical High $27,542.29 | Facility | None | $1,995.26 | $16,595.87 | $27,542.29 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,230.27 | $1,288.25 | $1,412.54 |
Security Health Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Security Health Setting Professional Modifier None Typical Low $5,128.61 Median $6,606.93 Typical High $7,079.46 | Professional | None | $5,128.61 | $6,606.93 | $7,079.46 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $10,715.19 Typical High $20,417.38 | Facility | None | $2,041.74 | $10,715.19 | $20,417.38 |
United Setting Professional Modifier None Typical Low $512.86 Median $1,862.09 Typical High $5,495.41 | Professional | None | $512.86 | $1,862.09 | $5,495.41 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $4,897.79 | Professional | 54 · Surgery only | $416.87 | $416.87 | $4,897.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $4,570.88 |
Where Wisconsin sits
The same service costs 8.3 times more in South Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 6th of 51
$1,995
SD $2,818KY $339
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.